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Am J Orthop (Belle Mead NJ). 1996 Nov;25(11):773-7.

Nonunion of a distal femoral epiphyseal fracture-separation.

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Department of Orthopaedics, Baylor College of Medicine, Houston, Texas, USA.


Distal femoral physeal fractures account for approximately 1% of all epiphyseal injuries. Complications include growth arrest and leg length discrepancy, malunion and deformity, and stiffness and knee instability. However, nonunion of such a fracture is exceedingly rare and has only been reported in patients with spinal dysraphism. We report a case of distal femoral physeal nonunion in a neurologically intact adolescent athlete. Initially, there was a delay in the diagnosis of this nondisplaced fracture, as the patient had normal roentgenograms. Additional imaging modalities (magnetic resonance imaging, stress radiographs) should be performed if there is a high index of suspicion of physeal injury when roentgenograms are normal.

[Indexed for MEDLINE]

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